Prognostic Value of a Classification System for Iliofemoral Stenting in Patients with Chronic Venous Obstruction

被引：2

作者：

Jalaie, Houman ^{[1
]}

Barbati, Mohammad E. ^{[1
]}

Piao, Long ^{[1
,2
]}

Doganci, Suat ^{[3
]}

Kucher, Nils ^{[4
]}

Dumantepe, Mert ^{[5
]}

Hartung, Olivier ^{[6
]}

Lichtenberg, Michael ^{[7
]}

Black, Stephen ^{[8
]}

Sullivan, Gerard O. ' ^{[9
]}

Avgerinos, Efthymios D. ^{[10
]}

Davies, Alun H. ^{[11
]}

Razavi, Mahmood K. ^{[12
]}

机构：

[1] RWTH Aachen Univ Hosp, Clin Vasc & Endovascular Surg, Aachen, Germany

[2] Zhejiang Prov Peoples Hosp, Dept Vasc & Endovascular Surg, Hangzhou, Peoples R China

[3] Univ Hlth Sci, Dept Cardiovasc Surg, Ankara, Turkiye

[4] Univ Hosp Zurich, Dept Angiol, Zurich, Switzerland

[5] Uskudar Univ, Sch Med, Dept Cardiovasc Surg, Istanbul, Turkiye

[6] Nord Univ Hosp Marseille, Dept Vasc Surg, Marseille, France

[7] Klinikum Hochsauerland, Dept Angiol, Arnsberg, Germany

[8] St Thomas Hosp, Acad Dept Vasc Surg, Cardiovasc Div, London, England

[9] Univ Hosp Galway, Newcastle Rd, Galway, Ireland

[10] Univ Pittsburgh Med Ctr, Div Vasc Surg, Pittsburgh, PA USA

[11] Imperial Coll, Sect Vasc Surg, London, England

[12] St Joseph Heart & Vasc Ctr, Orange, CA USA

来源：

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 2025年 / 69卷 / 02期

关键词：

Anatomical classification; Chronic venous obstruction; Iliofemoral venous obstruction; Interventional procedures; Prognostic value; Venous stents; INFERIOR VENA-CAVA; ILIAC VEIN COMPRESSION; CLINICAL INVESTIGATIONS; POSTTHROMBOTIC SYNDROME; REPORTING STANDARDS; TERM OUTCOMES; THROMBOSIS; OUTFLOW; PLACEMENT; DEFINITION;

D O I：

10.1016/j.ejvs.2024.10.002

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objective: This retrospective, multicentre study aimed to assess the prognostic value of a proposed classification system for chronic venous obstruction (CVO) patients undergoing successful interventional procedures. Methods: This study analysed data from 13 vascular centres, including 1033 patients with CVO treated between 2015- 2019. The patients were classified into five category types: 1- non-thrombotic iliac vein lesion; 2- CVO of iliac segment; 3- CVO of iliofemoral segment above common femoral vein confluence; 4- CVO of iliofemoral segment extending into the femoral vein (FV) or deep femoral vein (DFV); and 5- CVO of iliofemoral segment involving both DFV and FV. Stent deployment, complications, and follow ups were evaluated. Uni- and multivariable analyses were performed to identify predictors of primary patency loss. Results: The mean age of the patients was 44.0 +/- 14.7 years, with 59.9% being women. A median of two stents was used for unilateral cases and five stents for bilateral cases. At twelve months follow up, primary patency rates for types 1- 5 were 94.9%, 90.3%, 80.8%, 60.6%, and 39.4%, respectively. These rates were strongly correlated with the extent of CVO and showed significant differences between each type. Univariable analysis identified predictors of primary patency loss as the type of CVO, history of deep vein thrombosis, and the total number of stents. In the multivariable analysis, the significant independent predictors of primary patency loss were the type of CVO and the total number of stents. Conclusion: The proposed anatomical classification of iliofemoral CVO will help to predict intervention outcomes and facilitate comparison of stent outcomes in future studies. However, further evaluation and validation in prospective studies are needed to confirm the utility of this classification.

引用

页码：315 / 322

页数：8

共 46 条

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